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185 NE 100 St (3)Approved Correction Re- Insp'n Fee 289'1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 7/ 12- /(Z Type Insp'n - (2e- pIps rig) Permit No. P — 1 1 4 `! Name 2eFFId NE co N wrno n Address e n,^V l` i co ST 0°3)357 -1073 Company Pr0r r O PJ rnk,iy 9 Phone # ( 9 7755 Inspection Date 7 1 13 /0 Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2005 -174 Printed: 6/8/2005 Applicant: RANDY GRIFFIN Owner: GRIFFIN RANDY JOB ADDRESS: 185 NE 100 ST Contractor PRONTO PLUMBING INC Local Phone: 305 - 892 -2255 Parcel # 1132060132070 Signed: (INSPECTOR) Plumbing Permit Contractor's Address: 12135 NE 11 PL Permit Status: APPROVED Permit Expiration: 11/28/2005 Construction Value: $1,500.00 Work: CHANGE PIPES TO BE GALVINIZED Page 1 of 1 Legal Description: MIAMI SHORES SEC 1AMD PB 10 -70 E1/2 LOT 21 & ALL LOT 22 BLK 15 LOT SIZE 75 Fees: Description Amount FEE2005 -7713 Building Fee $160.00 FEE2005 -7714 CCF $1.20 FEE2005 -7715 Notary Fee $5.00 FEE2005 -7716 Training and Education Fee $0.40 FEE2005 -7717 Technology Fee $4.00 FEE2005 -7731 Scanning Fee $3.00 Total Fees: $173.60 Total Fees: $173.60 Total Receipts: $0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) � J /o10 City / /G iNjlf S State FL Owner's Address /R Job Address (where the work is being done) Contractor's Company Name Contractor's Addre / Z 7 3 e P City NI, Qualifier Architect /Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ❑Addition Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Describe or L�� /.!`� / 4l /. A Training /Education Fee $ Miami Shores Village Building Departmentfou 10050 N.E.2nd Avenue, Miami Shores, Florida 3138 Tel: (305) 795.2204 Fax: (305) 756.8972 AM 0 1 2895 permit P 7 6^c c e e/,,,,,„t I tate O ❑Alteration ❑Ne Zip Master Permit No. Mechanical f s /l/' 10 sa City Miami Shores Villa _e County Miami -Dade Zip 3 3/3 Is Is Buildin Historicall Desi YES NO /t Phone # Square Footage Of Work: [ Repair /Replace * * * * * * * * * * * * * * * * * * * * * * * * * * * *F * L * tip * * *r * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ b / j ' � ) - CCF $ CO /CC Technology Fee $ 4 ® C) . 4 Roofing 3 31_1e Tenant/Lessee Name Phone # 3 47.5--- 7 .' 7 - i O 73 Phone# Zip -33// 1 4A State Certificate or Registration No. C Pc 0 SSA S� Certificate of Competency No. ❑ Demolition 7 Radon $ Zoning Bond $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address �. .'. City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City _ State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspeclion fee will be charged. Signature NOTARY PU Sign: Print: My Commis ion Expires * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 - by who ersonally own to me or who h ► as produced As identification and who did take an oath. IGk ontractor 01 The foregoing instrument was a cknoowleedgeed before me this 01 L ay of ,20W, IVU -eJ who is rsonally kn� n to me or who has produce identification and who did take an oath. N a TJARY PUBLIC: „ nission Sign: spires: Ju 3, 2007 ,,,•. ru Print Atlantic Bonding Co. Lc. My Com ssion E * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * ** ***********************.******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** r-2 "©,. Plans Examiner Engineer Zoning L ITEM BATH TLQ UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE. BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/hETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTDR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MJTDRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMfS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MJTCRS OVER 100 HP VIOLATION INDIRECT WASTES- A/C WINDOW REUNSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COM4+1ERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTION .SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER 1 FIXTURES SEPTIC, TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE P11 CU. FT. CATCH BASIN DISCHARGE WELL I DOMESTIC WELL I AREA DRAIN ROOF INLET I SOLAR WATER HEATER I FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE i METER SET (GAS) GAS PIPIN 1 ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPL th ON FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Date Legal Description( I vo hie_ Owner/Lessee / Tenant CIn d3 6 1P Owner's Address &3 n e1 t c ( q_ . Contractin Co. G -4{ Ql — (tin4 ( C ) , Qualifier N . C, �/1►� I, � -IHQ, C�-ena_i c r State # L O\?) IUZ. Municipal # Competency # Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL LUMBINOMECHANICAL ROOFING PAVING FENCE SIGN W a D$S RIPTIONN -NS-k-n lICi4irYl 0-c' t � - � ( �c� - I'll/ . -et Otbnve (�c t,tno '12 Iz�t y30 "pil>cno ) )yog�l . L.p oct4e hec e0, c�l ue uP - I- haDLeh ea +` - 1 00C c,�IS an c� e d gas 1 h n es 40 1 } tt-A-eQ(c C i 5-4- i v c 1 -(-3 wct-k-ea. 14 a re ( 1" 1 D - b-e►3u) g �v1rc+ ��/ Square Ft. Estimated Cost (value) q ,�1 e. "I 1 / WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all 'rk will be construction and zoning. Furthermore, I authorize the above -named contractor to do th stated. FEES PE ctK Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder My Commission Expires: dee lav r RADON PERMIT APPLICAT FOR MIAMI SHORES VILLAGE Job Address I &S Pi UJ `3l , • Tax Folio 1 ' 3Z(.00 1 ? 2�(D APPROVED: Zoning Building Mechanical Plumbing Historically Designated: Yes No Address Address Address C.C.F. 1 • ? 0 NOTARY My Commission Expires: Electrical Master Permit # 4 3 Phone 3 ()5 — (67c1- 5 Y/ Address I ( -- Fiekher2, ss# __- Phonegf - ga( 80j0( 7 ance with all applicable laws regulating BOND TOTAL DUE ,c2/ Structural Engineer um A NESSL Npq �y St of Flor Stets public CO m (C 833203 Date Notary : to Owner and/or My C . ssion Expires: FEES: PERMIT / c 9 RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant /UP y C,e Master Permit # Owner's Address J �`� N F • /d b t WT /6f901/ SdGPhone 3 j (7 / 3 9q/ Contracting Co. a -rneve ti1 Are-Merle ¶llcdri Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE . SIGN WORK DESCRIPTION ST c.G ( ,L » i ' z z/ L ; - Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY OF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and ning. urthennore, I authorize the above -named contractor to do the work stated. � ��C ∎ Y A i ► � � APPROVED: Zoning Building Mechanical Plumbing C.C.F. Signature of Contractor or Owner- Builder Date Notary as to Contractor or Owner- Builder Date My Commission Expires: NOTARY BOND Electrical TOTAL DUE Structural Engineer UL. I • 4ij b SOUTHERN ATLANTIC • SERVICE CORP. • 21213 FLETCHER STREET OFIOWP riell5113126-.--- M ii4s4999: . . 85C . 2° 6-4944 DOOM4'VI4lig, Otheektoin*S4964272 Pew No. of—Peges Iforolgy Propose to 1111Ti5tt labor and materials complete in accordance with the above specifications, for the sum 1.,Igr coP With p 6frnerc w be made as fulicovs: 4 1).1)- otteit frarne1431 1 pfd L be ae vedfloe. NI work 1* to be corlIpleviekt We*. Auth atehnereastrav smenarinetskos, My ate mitten cedevaszkot fra shove L.. 10.51vIng Odra wen be wareuted foray upon written Won, end vrIrl Wilaim re =biz doliWawor end *bow the "softest*, AM waste ants ourttIngent t.tv Tha„, neorem bwirend our towel. Ovater to ssinyhre, tonlecto and other r ft V eg411 _ . be =r frowervaip. Our ~hest ire fully tesvervel by watetiorveie ecomponsatlert eiraWrt by us If not accepuse wttbindays, Accapteuce. of Proposal — The above prices, apeettoseetia;,aloa rioridItioni are osistsfactory and ors =04 1r oaptad.'Ydu We authorized to do the work as iftp+nerit will be mod* As outlined above. (a Signature Signature TOTAL P.02 - PROPOSAL SUBMITTED TO; DESCRIPTION OF JO; In a I, 1 ■ a et Va . . Address Gs" r ... - -- gr • ... C ry ., state ,... b og- (c .5;5bG, Dow 1.0 A5 it ' • • Ws ^ 1 . 4 iz trl ( cey • • ItiVer Hereby Submit specifications and estimates for tOSAUAlchA Ct 4441D 4.-1 14.1/4*...-ser Aohckfa e.4:5...,s4SiD. eh.) Us...Rog 6i.s 9 4<ve..A.L. 6. lierwiftat 1,40- i.J1 Vtacr ornutOVArraacif MA-.. latiKzavrae0 4A s thoioes. "ro Vow) t... tatertioreire- ( 0 I I; wmpaz. ti t'f•xturza - Tiro 'PA- 1) 41 61 2.• (J 4 ) liats›.6) c p•t 0,, ?taw". flow:law israidk 1.--, arcr.V.S.J I-4AM? . kik.. 1.4 -1 Strati.L./40- 1 1r00.h. - r I SOIN•66/05N, .'t■ilak.10/S k*C. AAL-454.441b Ic. LA-Pse)(2— i• 4 At ia. ,,,,?4,.1W % ) ivi.C"'""jitips' WI -eSer e, taXies. 9— i 41.4., .1‘40a4g. tit egb4 1:01 4 .14 vik4 L‘Vita„, 41,45: a) Afkio • 64 &LILL, Ping.). lik.eini -- "Fainio.u...- TA it 00- ST•et-grout.), . \ • . ' • . , ... ....... ____ ..._ _ _ .., ____. — _ _ 1 P.... _.— •11.... Ao. .1 a 4 k . t 'C'4•T"' . 1 s UL. I • 4ij b SOUTHERN ATLANTIC • SERVICE CORP. • 21213 FLETCHER STREET OFIOWP riell5113126-.--- M ii4s4999: . . 85C . 2° 6-4944 DOOM4'VI4lig, Otheektoin*S4964272 Pew No. of—Peges Iforolgy Propose to 1111Ti5tt labor and materials complete in accordance with the above specifications, for the sum 1.,Igr coP With p 6frnerc w be made as fulicovs: 4 1).1)- otteit frarne1431 1 pfd L be ae vedfloe. NI work 1* to be corlIpleviekt We*. Auth atehnereastrav smenarinetskos, My ate mitten cedevaszkot fra shove L.. 10.51vIng Odra wen be wareuted foray upon written Won, end vrIrl Wilaim re =biz doliWawor end *bow the "softest*, AM waste ants ourttIngent t.tv Tha„, neorem bwirend our towel. Ovater to ssinyhre, tonlecto and other r ft V eg411 _ . be =r frowervaip. Our ~hest ire fully tesvervel by watetiorveie ecomponsatlert eiraWrt by us If not accepuse wttbindays, Accapteuce. of Proposal — The above prices, apeettoseetia;,aloa rioridItioni are osistsfactory and ors =04 1r oaptad.'Ydu We authorized to do the work as iftp+nerit will be mod* As outlined above. (a Signature Signature TOTAL P.02 Survey Sheet/Plans Customer Name: Address: S� • ut i t �c 3 3I3c Phone: All work to comply with N.F.P.A. Code Niw 66.2) So. Atlantic Service Co. 2120 Fletcher Street Hollywood, FL 33020 1=888- 696 -76n Survey Sheet/Plans F Customer Namc:' Address: L - — 'IJ 1,46 Phone: S-- G Gas Piping ISO. lAAAm fir P Ma tz. 3 t 33 IbP n od ' VP 0 0 6 r AN tirP Lot -Jct ` - R»Z A ' L 3 C oto �h� Su. Atlantic Service Corp 2120 Fletcher Street Hollywood, 33020 1- SSS -696-7212 Size Septic Tank Feet of Drain Tile. Nature of Water Supply: City -Well Amount of Permit $. STATE OF FLORIDA, l COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FORMIIIIIIIINIG PERMIT Permit No._.._.2 T__ 4? . Date _. 3 0 ° Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ,� - ,, - Owner's Name and Address `( 1 " ' �!?_ - - - - -_ - - - - - -_ — No._____.__ Street- - Registered Architect and /or Engineer - Location and Legal Description Lot____________ _____ Block Street and Number where work is to be performed -No l p - 7 2' State work to be performed and purpose of building (By Floors) ___._._ . _ - -- New Building. -_ - -_ ___ Remodeling — _ -_. -_ - -- Addition__- __ --__ Repairs __Type of Tank_ LAUNDRY ( Signed )- Subdivision _lam Street - CATCH Street_ My Commission Expires Notary Public, State of Florida No. of Stories CONTR. LIST CH CK CONTR. LIST CHECK CLOSETS SEPTIC TANK SEWER CO NHs DRAIN S C. - Rse►sa. --SnuR TRAP H EATER WELL NALS SPRKLR._ SWIM c SYSTEM` — POOL -- FLOOR DRAIN DRINKING FOUNT'NB TOTAL Capacity Gals. _..Dist. Feet of Tank or Drain Field from Well _ .Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. q� (Signed). - - - 1 -/ 1 T - -_ - z„, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Architect Contractor :'' or'BuilZ er ', - Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 1890 Work to be performed under this Permit Owner of w Building Subdi- vision Value of Project DATE 19 Contraclor's License No. Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• • < - By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. ,,, n accepting this permit IL-assume responsibility for all work done a either myself, my agent, servant or employee. L. L CONTRACTOR OR BUILDER 11 , BY AUTHORITY • Permit No. .__ / building during progress of work. MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT / ' !/ Date_________ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at fi ,.3 Owner's Name and Address ' + _' _ • i _.t_ 1 _:L___ No. • \ Registered Architect and /or Engineer *.- .k._ • 1 f` 4 C i- __` t Employing Plumber's Name - - -- -- - �,� _ --- - =-� -- - -- �No. - - -. .� Street- - -� - - -� •,. Location and Legal Description Lot_____ ____f _ ` _Block / ff.= Subdivision__: _. = :__... _ Street and Number where work is to be performed—No.1_ _ h ___________ - l Street -- --- ---- -------_____-------------- r I New Building_ _________________ Remodeling Addition Repairs No. of Stories State work to be performed and purpose of building (By Floors) s} Amount of Permit $_ (Signed : Street r/.r •, Size Septic Type of Tank . Capacity Gals _______ __________ _ Feet of Drain Tile__ Dist. Feet of Tank or Drain Field from W I_ Nature of Water Supply: City —Well. Size of Soaka: P t Plumbing Inspector. The undersigned applicant for this building permit does hereby certify t e unders ands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com. ed General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida t / NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK • Permit No. .__ / building during progress of work. MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT / ' !/ Date_________ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at fi ,.3 Owner's Name and Address ' + _' _ • i _.t_ 1 _:L___ No. • \ Registered Architect and /or Engineer *.- .k._ • 1 f` 4 C i- __` t Employing Plumber's Name - - -- -- - �,� _ --- - =-� -- - -- �No. - - -. .� Street- - -� - - -� •,. Location and Legal Description Lot_____ ____f _ ` _Block / ff.= Subdivision__: _. = :__... _ Street and Number where work is to be performed—No.1_ _ h ___________ - l Street -- --- ---- -------_____-------------- r I New Building_ _________________ Remodeling Addition Repairs No. of Stories State work to be performed and purpose of building (By Floors) s} Amount of Permit $_ (Signed : Street r/.r •, Size Septic Type of Tank . Capacity Gals _______ __________ _ Feet of Drain Tile__ Dist. Feet of Tank or Drain Field from W I_ Nature of Water Supply: City —Well. Size of Soaka: P t Plumbing Inspector. The undersigned applicant for this building permit does hereby certify t e unders ands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com. ed General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida t / NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. -9 = APPLICATION FOR PLUMBING PERMIT Permit No./ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. • S / Owner's Name and Address __ —_ _�e!l_ _� ` _" No / J 4 4' Street ot-e) 'e ms • Street___ . Amount of Permit $_ Registered Architect and /or Engineer b± Employing Plumber's Name _ r Location and Legal Description Lot [ Street and Number where work is to be performed —No.1_ _ __/__X Street/ _64__ State work to be performed and purpose of building (By Floors) LA __ 4.479 _464teN New Building —____ Remodeling Addition Repairs ________ No. of Stories My Commission Expires MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT No c t t _Block /111 Type of Tank . Capacity Gals Dist. Feet of Tank or Drain Field from Well Size Septic Tank_ Feet of Drain Tile__ Nature of Water Supply: City —Well. Size of Soakage Pit (Signed) Notary Public. State of Florida _(Signed) // The undersigned applicant for this building permit does hereby certify the he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Comp' d General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the ork such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to e performed under this permit, as are licensed by Miami Shores Village. Plumbing Inspector. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK . SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK -9 = APPLICATION FOR PLUMBING PERMIT Permit No./ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. • S / Owner's Name and Address __ —_ _�e!l_ _� ` _" No / J 4 4' Street ot-e) 'e ms • Street___ . Amount of Permit $_ Registered Architect and /or Engineer b± Employing Plumber's Name _ r Location and Legal Description Lot [ Street and Number where work is to be performed —No.1_ _ __/__X Street/ _64__ State work to be performed and purpose of building (By Floors) LA __ 4.479 _464teN New Building —____ Remodeling Addition Repairs ________ No. of Stories My Commission Expires MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT No c t t _Block /111 Type of Tank . Capacity Gals Dist. Feet of Tank or Drain Field from Well Size Septic Tank_ Feet of Drain Tile__ Nature of Water Supply: City —Well. Size of Soakage Pit (Signed) Notary Public. State of Florida _(Signed) // The undersigned applicant for this building permit does hereby certify the he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Comp' d General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the ork such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to e performed under this permit, as are licensed by Miami Shores Village. Plumbing Inspector. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194a PERMIT N9 1255 Contratctor's License No. Work to be performed under this Permit Owner of Building Architect Contractor '+ ' or Builder Subdi- vision Legal Lot Bl. Description Address of ` Value of Building , % 4. Project This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. - Signed. - -. ' -4 Amt. of Permit By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. , • 47fg CONTRACTOR OR BUILDER Permit No • APPLICATION FOR PLUMBING PERMIT 417/ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. -r Owner's Name and Address =— A '7'3 , No. f r 3 Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No Amount of Permit $_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No Block le= Subdivision L/_lZ e ° ro r 7 S 1 Street_. - > 3,i) ✓% el Street__'>7 L a "C) State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit (Signed) (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida it Street t Ja Plumbiiig Inspector. Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper • notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN- FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER ”C1'QEEF ..^ WELL SPRKLR. SYSTEM SWIM 'G POOL. CONTR. LIST • CHECK / J !/ Permit No • APPLICATION FOR PLUMBING PERMIT 417/ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. -r Owner's Name and Address =— A '7'3 , No. f r 3 Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No Amount of Permit $_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No Block le= Subdivision L/_lZ e ° ro r 7 S 1 Street_. - > 3,i) ✓% el Street__'>7 L a "C) State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit (Signed) (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida it Street t Ja Plumbiiig Inspector. Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper • notice for inspection, or faulty materials and /or workmanship. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No I ) 1'16. Date Septeeber 9th 1910. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and, conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Richard Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot 22Aand Et-1/2. _o1 Street and Number where work is to be performed —No 185 State work to be performed and purpose of building (By Floors) Sprinkler system New Building Remodeling Addition Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $ 3 00 The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. the undersigned authority, a notary public, duly Before me, MIAMI SHORES VILLAGE No. Street Block 1 5, Subdivision Yitmdlmt Shorei-. Street H.E. 100th Street, Repairs No. of Stories (Signed) Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are LLEWELLYN MACHINERY CORPORATION, (Signed) No 185 Street N •E • 100th Street„ authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. the same, and that all facts NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No I ) 1'16. Date Septeeber 9th 1910. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and, conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Richard Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot 22Aand Et-1/2. _o1 Street and Number where work is to be performed —No 185 State work to be performed and purpose of building (By Floors) Sprinkler system New Building Remodeling Addition Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $ 3 00 The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. the undersigned authority, a notary public, duly Before me, MIAMI SHORES VILLAGE No. Street Block 1 5, Subdivision Yitmdlmt Shorei-. Street H.E. 100th Street, Repairs No. of Stories (Signed) Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are LLEWELLYN MACHINERY CORPORATION, (Signed) No 185 Street N •E • 100th Street„ authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. the same, and that all facts NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Bifhezd__Stoseklin No 1 Street N.E. 100th Street,_ Registered Architect and /or Engineer Employing Plumber's Name No. Street Location and Legal Description Lot 22 __ SIILI__F'L ∎1 Block 15 Subdivision Miami) Shore e- Street and Number where work is to be performed —No 185 Street N.E. 100th Street__ State work to be performed and purpose of building (By Floors) Sprinkler system New Building Remodeling Addition Date September 4th,__.191 .. c Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $______.'�0° (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. LLEWELLYN MACHINERY CORPORATION. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Bifhezd__Stoseklin No 1 Street N.E. 100th Street,_ Registered Architect and /or Engineer Employing Plumber's Name No. Street Location and Legal Description Lot 22 __ SIILI__F'L ∎1 Block 15 Subdivision Miami) Shore e- Street and Number where work is to be performed —No 185 Street N.E. 100th Street__ State work to be performed and purpose of building (By Floors) Sprinkler system New Building Remodeling Addition Date September 4th,__.191 .. c Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $______.'�0° (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. LLEWELLYN MACHINERY CORPORATION. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. "<, OWNER LOT BLOCK SUBDIVISION Se Issued to ddliami cSlzores9' llage F L 0 R 1 D A PLUMBING PERMIT t o install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a/_story Fixtures • building at $ Fixtures t ,r Sewer A $ d •ic Tank $ ea N9 721 Total - Village Plumbing Inspector f G; Received Payment by OWNER LOT BLOCK SUBDIVISION /74 - 91 iami 4ores91 �l L O PLUMBING PERMIT N9 721 Date Issued to to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by . BUILDING o 0 ELECTRICA,L l , : WORK DONE BY: PLUMBI•N The .followrig . or inspecton:- Inspector's Report :— 0 0 • -RE VESTED WILL BE READY. / � u